How much rates vary
Facilitymedian $1,122 · 10th to 90th $692 to $7,943Professionalmedian $562 · 10th to 90th $245 to $1,622
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5,128.61 Median $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $562.34 Typical High $912.01 | Professional | None | $169.82 | $562.34 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,148.15 | Facility | None | $660.69 | $851.14 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $1,659.59 | Professional | None | $257.04 | $575.44 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $1,445.44 | Professional | None | $309.03 | $457.09 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,288.25 Typical High $18,620.87 | Facility | None | $346.74 | $1,288.25 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $616.60 Typical High $1,479.11 | Professional | None | $245.47 | $616.60 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,202.26 | Facility | None | $691.83 | $1,096.48 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $1,445.44 | Facility | None | $436.52 | $891.25 | $1,445.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $1,621.81 | Professional | None | $79.43 | $501.19 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $1,737.80 | Professional | None | $338.84 | $602.56 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $323.59 Median $776.25 Typical High $1,778.28 | Professional | None | $323.59 | $776.25 | $1,778.28 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $141.25 Typical High $457.09 | Professional | 52 · Reduced service | $123.03 | $141.25 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $181.97 | Professional | 53 · Discontinued | $48.98 | $56.23 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $208.93 Typical High $676.08 | Professional | 54 · Surgery only | $181.97 | $208.93 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $41.69 Typical High $134.90 | Professional | 55 · Aftercare only | $36.31 | $41.69 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $24.55 | $28.18 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $457.09 | Professional | 52 · Reduced service | $123.03 | $123.03 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $181.97 | Professional | 53 · Discontinued | $48.98 | $48.98 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $676.08 | Professional | 54 · Surgery only | $181.97 | $181.97 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $134.90 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $91.20 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $91.20 |
Where Oregon sits
The same service costs 6.9 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $7,377MT $1,063
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.